HomeMy WebLinkAboutBldg Permit 01-0564 ReRoof
Date Rec'd,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siJtIl at bottom)
ADDRESS
1. White File
2. Pink City
3 . Yellow Applicant
/1/3 a~ sA~/ L AJ J
LEGAL DESCRIPTION (office use only)
LOT C; BLOCK G ADDITION~d IJ~
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OWNER
(Name)
jQ~
(Address)
BUILDER S
(Name) ~ (,J/h 0
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
;p
(Phone)
(Phone)
(Phone)
o New Construction
o Deck
o Porch
~-Roofing
OAlteration
PID;;2S -:~!r;-- -09 ~-()
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t!I,S';) - t/~)- 9,~~c)
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~~(:F::'''1i= tP -1-0 /
SlgdUre Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
OLower Level Finish
o Fireplace
OAddition
PROJECT COST IV ALUE (excluding land) $
$1L// '15
$
$ 1'0'5'
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
~
7 G ' UU
~ ~ /- 0 I
I
Building Official
Date
#
#
#
#
$
$
$
$
$
$
$
$
$ --1ft, ,00
ReceiPt No. =--1 q{"g' /
By if ../
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may Y' u~~~j as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
14J.n
SHORE
01-0564
Re-Roof
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION .
COMMENTS:
DATE TIME
SCHEDULED
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~b..05e F!b..!:
Mike:. ~I .>l.In, Buildill~ Inspe\.. tv,-
Dt.L
'1 2003
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl